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Parkinson's Disease HOL-emblem1-web.GIF (3556 bytes)

Hoehn and Yahr Staging of Parkinson's Disease

1. Stage One

bulletSigns and symptoms on one side only
bulletSymptoms mild
bulletSymptoms inconvenient but not disabling
bulletUsually presents with tremor of one limb
bulletFriends have noticed changes in posture, locomotion and facial expression

2. Stage Two

bulletSymptoms are bilateral
bulletMinimal disability
bulletPosture and gait affected

3. Stage Three

bulletSignificant slowing of body movements
bulletEarly impairment of equilibrium on walking or standing
bulletGeneralized dysfunction that is moderately severe

4. Stage Four

bulletSevere symptoms
bulletCan still walk to a limited extent
bulletRigidity and bradykinesia
bulletNo longer able to live alone
bulletTremor may be less than earlier stages

5. Stage Five

bulletCachectic stage
bulletInvalidism complete
bulletCannot stand or walk
bulletRequires constant nursing care

A more comprehensive, but complicated, way to evaluate Parkinson's Disease is by the Unified Parkinson's Disease Rating Scale.

Next Topic: Causes

[Parkinson's Disease Home]

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